Selective opportunistic screening for hypercholesterolemia in primary care practice.
To assess the performance of selective opportunistic screening in a primary care group practice.
Cross-sectional survey of coronary heart disease risk factors and retrospective chart audit of cholesterol testing.
Capitation-funded primary care group practice in Ontario, Canada.
7785 enrolled patients between the ages of 20 and 69 years.
Protocol-based selective opportunistic screening program for hypercholesterolemia of 45 months duration.
Main Outcome Measures
Targeting (proportion of screening tests that were appropriate), coverage (proportion of those meeting screening criteria who had a screening test performed), over-screening (proportion of those not meeting screening criteria who had a screening test performed), and screening ratio (likelihood that a screening test was performed on an individual who met screening criteria rather than one who failed to meet screening criteria).
64.7% of patients tested met the practice criteria for screening. 37.7% of patients who met the practice screening criteria were tested and 24.9% of those not meeting practice screening criteria had a cholesterol test performed.
The screening ratio was 1.52.
Our findings bring into question the effectiveness of opportunistic approaches to preventive care.
Mots-clés Pascal : Hypercholestérolémie, Dépistage, Programme sanitaire, Epidémiologie, Evaluation, Homme, Canada, Amérique du Nord, Amérique, Lipide, Métabolisme pathologie, Dyslipémie, Hyperlipoprotéinémie
Mots-clés Pascal anglais : Hypercholesterolemia, Medical screening, Sanitary program, Epidemiology, Evaluation, Human, Canada, North America, America, Lipids, Metabolic diseases, Dyslipemia, Hyperlipoproteinemia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0510941
Code Inist : 002B22A. Création : 23/03/1999.